CHISOM OGOCHUKWU ASHLEY AGBIM MD NPI 1740675529

NPI Information

NPI: 1740675529
Provider Name: CHISOM OGOCHUKWU ASHLEY AGBIM, MD
Classification: Pediatrics - 2080P0204X
Entity Type: Individual

Specialization: Pediatric Emergency Medicine

PECOS Registration: Yes

Address:
300 PASTEUR DR
STANFORD, CA
ZIP 94305
Phone: (650) 723-4000
Get Directions

Chisom Ogochukwu Ashley Agbim, MD is a pediatric emergency medicine pediatrics in Stanford, CA with 9 years of experience. The provider is a pediatrician who has special qualifications to manage emergencies in infants and children. Chisom Ogochukwu Ashley Agbim, MD NPI is 1740675529. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF COLORADO SCHOOL OF MEDICINE, AURORA
Graduation Year:2015

The provider's business location address is:

300 PASTEUR DR
STANFORD, CA
ZIP 94305-200
Phone: (650) 723-4000

The NPI 1740675529 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/30/2015 and was last updated on 3/14/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		A144709	CALIFORNIA	No
2	2080P0204X	Pediatrics	Pediatric Emergency Medicine	DR.0065890	COLORADO	No
3	2080P0204X	Pediatrics	Pediatric Emergency Medicine	MD046104	DISTRICT OF COLUMBIA	No
4	2080P0204X	Pediatrics	Pediatric Emergency Medicine	A144709	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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